Mannitol Health Dictionary

Mannitol: From 3 Different Sources


An osmotic diuretic drug used to treat oedema of the brain and glaucoma.
Health Source: BMA Medical Dictionary
Author: The British Medical Association
An osmotic diuretic (see DIURETICS) given by a slow intravenous infusion to reduce OEDEMA of the BRAIN or raised intraocular pressure in GLAUCOMA.
Health Source: Medical Dictionary
Author: Health Dictionary
n. an osmotic *diuretic administered mainly to reduce intracranial pressure in brain injuries and also in the emergency treatment of glaucoma. Side-effects include fever and chills. Mannitol powder is inhaled to treat cystic fibrosis.
Health Source: Oxford | Concise Colour Medical Dictionary
Author: Jonathan Law, Elizabeth Martin

Borreria Articularis

(Linn. f.) F. N. Williams.

Synonym: B. hispada (L.) K. Sch. Spermacoce hispida Linn.

Family: Rubiaceae.

Habitat: Throughout India, as a weed in cultivated and sallow lands and pastures.

English: Shaggy Button Weed.

Ayurvedic: Madana-ghanti.

Siddha/Tamil: Nathaichoori.

Folk: Ghanti-chi-bhaaji (Maharashtra), Gatbhanjan, Satgathiyaa.

Action: Herb—used in the treatment of headache. Root—prescribed as a mouthwash in toothache. Leaf— juice is given as an astringent in haemorrhoids. Seeds—used as demulcent in diarrhoea and dysentery.

The weed contains beta-sitosterol, ursolic acid and D-mannitol. It is rich in calcium and phosphorus. Isorham- netin, a flavonoid, is reported in the seeds.... borreria articularis

Brahmi

Bacopa monnieri

Scrophulariaceae

San: Brahmi, Sarasvati;

Hin: Barami, Jalnim;

Ben: Boihim-sak;

Mal: Brahmi , Nirbrahmi;

Tam: Nirpirami, Piramiyapundu; Kan, Mar: Nirbrahmi

Importance: Brahmi or Thyme leaved gratiola is an important drug in Ayurveda for the improvement of intelligence and memory and revitalisation of sense organs. It clears voice and improves digestion. It is suggested against dermatosis, anaemia, diabetes, cough, dropsy, fever, arthritis, anorexia, dyspepsia, emaciation, and insanity. It dispels poisonous affections, splenic disorders and impurity of blood. It is useful in vitiated conditions of kapha and vata, biliousness, neuralgia, ascites, flatulence, leprosy, leucoderma, syphilis, sterility and general debility. The whole plant is used in a variety of preparations like Brahmighrtam, Sarasvataristam., Brahmitailam, Misrakasneham, etc. In unani Majun Brahmi is considered as a brain tonic.

Distribution: The plant grows wild on damp places and marshy lands in the major part of the plains of India, Pakistan, Afghanistan, Nepal, Sri Lanka and other tropical countries.

Botany: Bacopa monnieri (Linn.) Pennell. syn. Monniera cuneifolia Michx., Herpestis monniera (Linn.) H.B. & K. belongs to the family Scrophulariaceae. It is a prostrate, juicy, succulent, glabrous annual herb rooting at the nodes with numerous ascending branches. Leaves are simple, opposite, decussate, sessile, obovate-oblong or spatulate, entire, fleshy, obscurely veined and punctate. Flowers are pale blue or whitish, axillary, solitary, arranged on long slender pedicels. Fruits are ovoid, acute, 2-celled, 2-valved capsules and tipped with style base. Seeds are minute and numerous (Warrier et al, 1993).

Agrotechnology: The plant grows throughout the warm humid tropics upto 1200m elevation. Brahmi gets established well in water logged fields. The plant is propagated vegetatively by stem cuttings. Land is prepared by ploughing 2 or 3 times. Two to three tonnes/ha of cowdung or compost is applied and the field is again ploughed and levelled. Stem cuttings, 10cm long are spread at a spacing of 20cm. Waterlogging to height of 30cm is always required. Rooting may start within 15-20 days. It will spread over the field within 6 months. Regular application of organic manure will take care of the manurial requirement. Weeding once in a month is required. Care should be taken to maintain water level at a height of 30cm during the growth period. No serious pests or diseases are noted in this crop. Harvesting commences from sixth months onwards. Brahmi leaves can be collected once a month. After 3 years, the whole crop is harvested and removed. Fresh cultivation can be carried out in the same field.

Properties and activity: Earlier workers have reported the isolation of the alkaloids brahmine and hespestine and a mixture of 3 alkaloids from the leaves. Mannitol and saponins were reported later. Subsequent work described isolation of some C27, C29, and C31 hydrocarbons and betulic acid from this plant material. A systematic examination has resulted in the isolation and identification of two saponins designated as bacosides A and B. Bacoside A has chemical structure represented as 3-(-L-arabinopyranosyl)-O- - D-glucopyranoside-10, 20-dihydroxy-16-ketodammar-24-ene. The mixture of bacosides A and B on hydrolysis give four sapogenins, glucose and arabinose. The constitution of bacogenin A, has been established as 3 -30-dihydroxy-20(5)-25-epoxy-22-methyl-24-nor-dammar-22-en-16-one. Bacogenin A2 has been shown to be an isomer of bacogenin A, differing in configuration at C-20. Bacogenin A4 has been identified as ebelin lactone.

The plant is reported to have shown barbiturate hypnosis potentiation effect. The plant is anticancerous and improves learning ability. It is used as a tranquilliser. The plant is astringent, bitter, sweet, cooling, laxative, intellect promoting, anodyne, carminative, digestive, antiinflammatory, anticonvulsant, depurative, cardiotonic, bronchodialator, diuretic, emmenagogue, sudorfic, febrifuge and tonic (Basu et al, 1947; Rastogi et al 1960).... brahmi

Cucurbits

Cucurbitaceae

The family Cucurbitaceae includes a large group of plants which are medicinally valuable. The important genera belonging to the family are Trichosanthes, Lagenaria, Luffa, Benincasa, Momordica, Cucumis, Citrullus, Cucurbita, Bryonopsis and Corallocarpus. The medicinally valuable species of these genera are discussed below.

1. Trichosanthes dioica Roxb.

Eng: Wild Snake-gourd; San: Meki,Pargavi, Parvara, Patola;

Hin: Palval, Parvar

Ben: Potol;

Mal: Kattupatavalam, Patolam;

Tam: Kombuppudalai;

Tel: Kommupotta

Wild snake-gourd is a slender-stemmed, extensively climbing, more or less scabrous and woolly herb found throughout the plains of N. India, extending to Assam and W. Bengal. Tendrils are 2-4 fid. Leaves are 7.5x5cm in size, ovate-oblong, cordate, acute, sinuate- dentate, not lobed, rigid, rough on both surface and with a petiole of 2cm. Flowers are unisexual. Male flowers are not racemed but woolly outside. Calyx tube is 4.5cm long, narrow, teeth linear and erect. Anthers are free. Fruit is 5.9cm long, oblong or nearly spherical, acute, smooth and orange-red when ripe. Seeds are half-ellipsoid, compressed and corrugated on the margin (Kirtikar and Basu, 1988). The unripe fruit of this is generally used as a culinary vegetable and is considered very wholesome and specially suited for the convalescent. The tender shoots are given in decoction with sugar to assist digestion. The seeds are useful for disorders of the stomach. The leaf juice is rubbed over the chest in liver congestion and over the whole body in intermittent fevers (Nadkarni, 1998). The fruit is used as a remedy for spermatorrhoea. The fresh juice of the unripe fruit is often used as a cooling and laxative adjunct to some alterative medicines. In bilious fever, a decoction of patola leaves and coriander in equal parts is given. The fruit in combination with other drugs is prescribed in snakebite and scorpion sting (Kirtikar and Basu, 1988).

Fruits contain free amino acids and 5-hydroxy tryptamine. Fatty acids from seeds comprise elaeostearic, linoelic, oleic and saturated acids. The aerial part is hypoglycaemic. Leaf and root is febrifuge. Root is hydragogue, cathartic and tonic. Unripe leaf and fruit is laxative (Husain et al, 1992). The plant is alterative and tonic. Leaves are anthelmintic. Flower is tonic and aphrodisiac. The ripe fruit is sour to sweet, tonic, aphrodisiac, expectorant and removes blood impurities.

The other important species belonging to the genus Trichosanthes are as follows.

T. palmata Roxb. T. cordata Roxb. T. nervifolia Linn.

T. cucumerina Linn.

T. anguina Linn.

T. wallichiana Wight. syn. T. multiloba Clarke

2. Lagenaria vulgaris Ser. syn. Cucurbita Lagenaria Linn. ; Roxb.

Eng: Bottle gourd San: Alabu Hin: Lauki, Jangli-khaddu

Ben: Lau, Kodu

Mal: Katuchuram, Churakka

Tam: Soriai-kay

Tel: Surakkaya

Bottle gourd is a large softly pubescent climbing or trailing herb which is said to be indigenous in India, the Molucas and in Abyssinia. It has stout 5-angled stems with bifid tendrils. Leaves are ovate or orbiculate, cordate, dentate, 5-angular or 5-lobed, hairy on both surfaces. Flowers are large, white, solitary, unisexual or bisexual, the males long and females short peduncled. Ovary is oblong, softly pubescent with short style and many ovules. Fruits are large, usually bottle or dumb-bell-shaped, indehiscent and polymorphous. Seeds are many, white, horizontal, compressed, with a marginal groove and smooth. There are sweet fruited and bitter-fruited varieties (Kirtikar and Basu, 1988). The fruit contains a thick white pulp which, in the cultivated variety (kodu) is sweet and edible, while in the smaller wild variety (tamri) it is bitter and a powerful purgative. The seeds yield clear limpid oil which is cooling and is applied to relieve headache. The pulp of the cultivated forms is employed as and adjunct to purgatives and considered cool, diuretic and antibilious, useful in cough, and as an antidote to certain poisons. Externally it is applied as a poultice. The leaves are purgative and recommended to be taken in the form of decoction for jaundice (Nadkarni, 1998). In the case of sweet-fruited variety, the stem is laxative and sweet. The fruit is sweet oleagenous, cardiotonic, general tonic, aphrodisiac, laxative and cooling. In the case of bitter-fruited variety, the leaves are diuretic, antibilious; useful in leucorrhoea, vaginal and uterine complaints and earache. The fruit is bitter, hot, pungent, emetic, cooling, cardiotonic, antibilious; cures asthma, vata, bronchitis, inflammations ulcers and pains.

3. Luffa acutangula (Linn.) Roxb.

Eng: Ridged gourd; San: Dharmargavah, Svadukosataki;

Hin: Tori, Katitori;

Ben: Ghosha

Mal: Peechil, Peechinga;

Tam: Pikangai, Prikkangai;

Tel: Birakaya;

Kan: Kadupadagila

Ridged gourd or ribbed gourd is a large monoecious climber cultivated throughout India. It is with 5-angled glabrous stems and trifid tendrils. Leaves are orbicular-cordate, palmately 5-7 lobed, scabrous on both sides with prominent veins and veinlets. Flowers are yellow, males arranged in 12-20 flowered axillary racemes. Female flowers are solitary, arranged in the axils of the males. Ovary is strongly ribbed. Fruits are oblong-clavate with 10-sharp angles 15-30cm long, tapering towards the base. Seeds are black, ovoid-oblong, much compressed and not winged (Warrier et al, 1995). The leaves are used in haemorrhoids, leprosy, granular-conjunctivitis and ringworm. The seeds are useful in dermatopathy. The juice of the fresh leaves is dropped into the eyes of children in granular conjunctivitis, also to prevent the lids from adhering at night on account of excessive meihomian secretion (Nadkarni, 1998). Fruits are demulcent, diuretic, tonic, expectorant, laxative and nutritive. The seeds are bitter, emetic, cathartic, expectorant and purgative.

The other important species of the genus Luffa are:

L. aegyptiaca Mill.

L. acutangula var. amara Clarke

L. echinata Roxb.

4. Benincasa hispida (Thumb.) Cogn. syn. B. cerifera Savi.

Eng: Ash gourd, White gourd melon; San: Kusmandah;

Hin: Petha, Raksa;

Ben: Kumra

Mal: Kumpalam;

Tam: Pusanikkai;

Kan: Bile Kumbala;

Tel: Bodigummadi

Ash gourd or White gourd melon is a large trailing gourd climbing by means of tendrils which is widely cultivated in tropical Asia. Leaves are large and hispid beneath. Flowers are yellow, unisexual with male peduncle 7.5-10cm long and female peduncle shorter. Fruits are broadly cylindric, 30-45cm long, hairy throughout and ultimately covered with a waxy bloom. The fruits are useful in asthma, cough, diabetes, haemoptysis, hemorrhages from internal organs, epilepsy, fever and vitiated conditions of pitta. The seeds are useful in dry cough, fever, urethrorrhea, syphilis, hyperdipsia and vitiated conditions of pitta (Warrier et al,1993). It is a rejuvenative drug capable of improving intellect and physical strength. In Ayurveda, the fresh juice of the fruit is administered as a specific in haemoptysis and other haemorrhages from internal organs. The fruit is useful in insanity, epilepsy and other nervous diseases, burning sensation, diabetes, piles and dyspepsia. It is a good antidote for many kinds of vegetable, mercurial and alcoholic poisoning. It is also administered in cough, asthma or respiratory diseases, heart diseases and catarrah. Seeds are useful in expelling tapeworms and curing difficult urination and bladder stones. The important formulations using the drug are Kusmandarasayana, Himasagarataila, Dhatryadighrita, Vastyamantakaghrita, Mahaukusmandakaghrita, etc. (Sivarajan et al, 1994).

Fruits contain lupeol, -sitosterol, n-triacontanol, vitamin B, mannitol and amino acids. The fruit is alterative, laxative, diuretic, tonic, aphrodisiac and antiperiodic. Seed and oil from seed is anthelmintic (Husain et al, 1992).

5. Momordica charantia Linn.

Eng: Bitter gourd, Carilla fruit San: Karavellam

Hin: Karela, Kareli

Mal: Kaypa, Paval

Tam: Pavakkai, Paval, Pakar

Tel: Kakara

Bitter gourd or Carilla fruit is a branched climbing annual which is cultivated throughout India. It is a monoecious plant with angled and grooved stems and hairy or villous young parts. Tendrils are simple, slender and elongate. Leaves are simple, orbicular, cordate and deeply divided into 5-7 lobes. Flowers are unisexual, yellow and arranged on 5-10cm long peduncles. Fruits are 5-15cm long with 3-valved capsules, pendulous, fusiform, ribbed and beaked bearing numerous triangular tubercles. Seeds are many or few with shining sculptured surface. The roots are useful in coloptosis and ophthalmopathy. The leaves are useful in vitiated conditions of pita, helminthiasis, constipation, intermittent fever, burning sensation of the sole and nyctalopia. The fruits are useful in skin diseases, leprosy, ulcers, wounds, burning sensation, constipation, anorexia, flatulence, colic, helminthiasis, rheumatalgia, gout, diabetes, asthma, cough, dysmenorrhoea, impurity of breast milk, fever and debility. Seeds are useful in the treatment of ulcers, pharyngodynia, and obstructions of the liver and spleen. The leaves and fruits are used for external application in lumbago, ulceration and bone fractures and internally in leprosy, haemorrhoids and jaundice (Warrier et al, 1995). The drug improves digestion, calms down sexual urge, quells diseases due to pitta and kapha and cures anaemia, anorexia, leprosy, ulcers, jaundice, flatulence and piles. Fruit is useful in gout, rheumatism and complaints of liver and spleen (Nadkarni, 1954; Aiyer and Kolammal, 1966; Mooss, 1976; Kurup et al, 1979). Kaccoradi taila is an important preparation using the drug (Sivarajan et al, 1994).

The seeds give triterpene glycosides, named momordicosides A, B, C, D and E, which are glycosides of cucurbit-5-en-triol, tetraol or pentaol. Leaves and vines give tetracyclic triterpenes-momordicines I, II and III (bitter principles). Immature fruits give several non-bitter and 2 bitter cucurbitacin glycosides. Four of the non-bitter glycosides, momordicosides F1, F2, G and I and the bitter momordicosides; K and L have also been characterized. Fruits, seeds and tissue culture give a polypeptide which contained 17 types of amino acids and showed hypoglycaemic activity. Fruits also give 5-hydroxy tryptamine and a neutral compound charantin (a steroidal glucoside), diosgenin, cholesterol, lanosterol and -sitosterol. Leaf is emetic, purgative and antibilious. Fruit is stomachic, tonic, carminative, febrifuge, antirheumatic and hypoglycaemic. Root is astringent. Fruit and leaf is anti-leprotic. Fruit, leaf and root are abortifacient and anti-diabetic. Leaf and seed is anthelmintic. Seed oil possesses antifeeding and insecticidal properties. Unsaponifiable matter from seed oil exhibited pronounced inhibitory activity against gram negative bacteria. Seed and fruit are hypoglycaemic, cytotoxic and anti-feedant (Husain et al, 1992).

Other important species belonging to the genus Momordica are as follows.

M. dioica Roxb.

M. cochinchinensis Spreng.

M. tuberosa Cogn.

M. balsamina Linn.

6. Cucumis melo Linn. syn. C. melo Linn. var. cultis Kurz., C. pubescens

Willd., C. callosus (Rottl.) Cogn.

Eng: Sweet melon San,

Hin: Kharbuja

Ben: Kharmul

Mal: Mulam

Tam: Chukkari-kai, Thumatti-kai, Mulampazham

Tel: Kharbuja-doshavSweet melon is a creeping annual extensively cultivated throughout India, found wild in India, Baluchistan and tropical Africa. The stem is creeping, angular and scabrous. Leaves are orbicular-reniform in outline, 5-angled or lobed, scabrous on both surfaces and often with soft hairs. Lobes of leaves are not very deep nor acute and with 5cm long petiole. Female peduncle is 5cm. Fruit is spherical, ovoid, elongate or contorted, glabrous or somewhat hairy, not spinous nor tuberculate.

Cucumis melo includes two varieties, namely,

C. melo var. momordica syn. C. momordica Roxb.

C. melo var. utilissimus Duthie & Fuller. syn. C. utilissimus Roxb.

The fruit is eaten raw and cooked. Its pulp forms a nutritive, demulcent, diuretic and cooling drink. It is beneficial as a lotion in chronic and acute eczema as well as tan and freckles and internally in cases of dyspepsia. Pulp mixed with cumin seeds and sugar candy is a cool diet in hot season. Seeds yield sweet edible oil which is nutritive and diuretic, useful in painful discharge and suppression of urine. The whole fruit is useful in chronic eczema (Kirtikar & Basu, 1988).

Seeds contain fatty acids-myristic, palmitic, oleic, linoleic; asparagine, glutamine, citrulline, lysine, histidine, arginine, phenylalanine, valine, tyrosine, leucine, iso-leucine, methionine, proline, threonine, tryptophan and crystine. Seed is tonic, lachrymatory, diuretic and urease inhibitor. Fruit pulp is eczemic. Fruit is tonic, laxative, galactagogue, diuretic and diaphoretic. The rind is vulnerary (Husain et al, 1992).

7. Cucumic sativus Linn.

Eng: Cucumber, Common cucumber; San: Trapusah;

Hin,

Ben: Khira;

Mal: Vellari

Tam: Vellarikkai, Pippinkai;

Kan: Mullusavte;

Tel: Dosekaya

Cucumber is a climbing annual which is cultivated throughout India, found wild in the Himalayas from Kumaon to Sikkim. It is a hispidly hairy trailing or climbing annual. Leaves are simple, alternate, deeply cordate, 3-5 lobed with both surfaces hairy and denticulate margins. Flowers are yellow, males clustered, bearing cohering anthers, connective crusted or elevated above the cells. Females are solitary and thickly covered with very bulbous based hairs. Fruits are cylindrical pepo of varying sizes and forms. Seeds are cream or white with hard and smooth testa. The fruits are useful in vitiated conditions of pitta, hyperdipsia, burning sensation, thermoplegia, fever, insomnia, cephalgia, bronchitis, jaundice, haemorrhages, strangury and general debility. The seeds are useful in burning sensation, pitta, constipation, intermittent fevers, strangury, renal calculus, urodynia and general debility (Warrier et al, 1994). The leaves boiled and mixed with cumin seeds, roasted, powdered and administered in throat affections. Powdered and mixed with sugar, they are powerful diuretic (Nadkarni, 1998). The fruits and seeds are sweet, refrigerant, haemostatic, diuretic and tonic. Other important species belonging to the genus are:

C. trigonus Roxb. syn. C. pseudo-colocynthis

C. prophetarum Linn.

8. Citrullus colocynthis (Linn.) Schrader. syn. Cucumis colocynthis Linn.

Eng: Colocynth, Bitter apple; San: Visala, Mahendravaruni;

Hin: Badi indrayan, Makkal

Ben: Makhal;

Mal: Kattuvellari (Valutu), Valiya pekkummatti;

Tel: Etti-puchcha

Tam: Paitummatti, Petummatti;

Colocynth or Bitter apple is found, cultivated and wild, throughout India in warmer areas. It is an extensively trailing annual herb with bifid tendrils angular branching stems and wooly tender shoots. Leaves are deeply divided, lobes narrow thick, glabrous or somewhat hairy. Flowers are unisexual, yellow, both males and females solitary and with pale-yellow corolla. Fruit is a globose or oblong fleshy indehiscent berry, 5-7.5cm in diameter and variegated with green and white. Seeds are pale brown. The fruits are useful in tumours, ascites, leucoderma, ulcers, asthma, bronchitis, urethrorrhea, jaundice, dyspepsia, constipations, elephantiasis, tubercular glands of the neck and splenomegaly (Warrier et al, 1994). It is useful in abnormal presentations of the foetus and in atrophy of the foetus. In addition to the above properties, the root has a beneficial action in inflammation of the breasts, pain in the joints; externally it is used in ophthalmia and in uterine pains. The fruit and root, with or without is rubbed into a paste with water and applied to boils and pimples. In rheumatism, equal parts of the root and long pepper are given in pill. A paste of the root is applied to the enlarged abdomen of children (Kirtikar and Basu, 1988). The fruit is useful in ascites, biliousness, jaundice, cerebral congestion, colic, constipation dropsy, fever, worms and sciatica. Root is given in cases of abdominal enlargement, cough, asthma, inflammation of the breast, ulcers, urinary diseases and rheumatism. Oil from seeds is used for poisonous bites, bowel complaints, epilepsy and also for blackening the hair (Nadkarni, 1954; Dey, 1980). The important formulations using the root and fruit are Abhayarista, Mahatiktakam kasaya, Manasamitravatakam, Cavikasava, Madhuyastyadi taila, etc. (Sivarajan et al, 1994). The powder is often used as an insecticide. The extract should never be given without some aromatic to correct its griping tendency (Nadkarni, 1998).

Fruit contains a glycoside- colocynthin, its aglycone- -elaterin, citrulluin, citrullene and citrullic acid. Unripe fruit contains p-hydroxy benzyl methyl ester. Roots contain - elaterin and hentriacontane (Husain et al, 1992). Colocynth is, in moderate doses, drastic, hydrogogue, cathartic and diuretic. In large doses, it is emetic and gastro-intestinal irritant and in small doses, it is expectorant and alterative. Colocynthin is a cathartic and intensely bitter principle. It has a purgative action. All parts of the plant are very bitter. The fruit has been described as cathartic (Nadkarni, 1982).

9. Citrullus vulgaris Schrad. syn. C. lanatus (Thunb.) Mats. & Nakai.

Eng: Water melon; San: Tarambuja;

Hin: Tarbuj;

Ben: Tarbuz

Mal: Thannimathan;

Tam: Pitcha, Dharbusini

Watermelon is an extensively climbing annual which is largely cultivated throughout India and in all warm countries. It has thick angular branching stems. Tendrils are bifid, stout and pubescent. Leaves are long, deeply divided or moderately lobed, glabrous or somewhat hairy and hardly scabrous. Petiole is a little shorter than the limb and villous. Calyx-lobes are narrowly lanceolate, equalling the tube. Corolla is yellow within, greenish outside and villous. Lobes are ovate-oblong, obtuse and prominently 5-nerved. Fruit is sub-globose or ellipsoid, smooth, greenish or clouded, often with a glaucous waxy coating. Flesh is juicy, red or yellowish white. Seeds are usually margined. C. vulgaris var. fistulosus Duthie & Fuller. syn. C. fistulosus has its fruit about the size of small turnip, the seeds of which are used medicinally. The fruit is tasteless when unripe and sweet when ripe. The unripe fruit is used to cure jaundice. Ripe fruit cures kapha and vata and causes biliousness. It is good for sore eyes, scabies and itching. The seeds are tonic to the brain and used as a cooling medicine. An emulsion of the seeds is made into a poultice with the pounded leaves and applied hot in cases of intestinal inflammations (Kirtikar and Basu, 1988). Fruit juice is good in quenching thirst and it is used as an antiseptic in typhus fever with cumin and sugar. It is used as a cooling drink in strangury and affections of urinary organs such as gonorrhoea; in hepatic congestion and intestinal catarrh. The bitter watermelon of Sind is known as “Kirbut” and is used as a purgative.

Seeds yield a fixed oil and proteids; citrullin. Seeds are cooling, demulcent, diuretic, vermifuge and nutritive. Pulp is cooling and diuretic. Fruit-juice is cooling and refreshing (Nadkarni, 1982).

10. Curcurbita pepo Linn. syn. Pepo vulgaris et P. verrucosus Moench

Meth.

Eng: Pompion, Pumpkin, Vegetable Marrow; San: Karkaru, Kurkaru, Kushmandi

Hin,

Ben: Kadimah, Konda, Kumra, Safedkkadu;

Mal: Mathan, Matha

Tel: Budadegummadi, Pottigummadi

Pompion or Pumpkin is a climbing herb which is considered to be a native of America and cultivated in many parts of India. The stem and leaves are with a harsh prickly armature. Foliage is stiff, more or less rigid and erect. Leaves are with a broad triangular pointed outline and often with deep lobes. Corolla is mostly with erect or spreading (not drooping) pointed lobes, the tube narrowing towards the base. Peduncle is strongly 5-angled and little or much expanding near the fruit. The fruit is cooling and astringent to the bowels, increases appetite, cures leprosy, ‘kapha and vata’, thirst, fatigue and purifies the blood. The leaves are used to remove biliousness. Fruit is good for teeth, throat and eyes and allays thirst. Seeds cure sore chests, haemoptysis, bronchitis and fever. It is good for the kidney and brain. The leaves are used as an external application for burns. The seeds are considered anthelmintic. The seeds are largely used for flavouring certain preparations of Indian hemp, and the root for a nefarious purpose, viz., to make the preparation more potent. The seeds are taeniacide, diuretic and demulcent. The fruit is cooling, laxative and astringent. The leaves are digestible, haematinic and analgesic.

The other important species belonging to the genus Cucurbita is C. maxima Duchena, the seeds of which are a popular remedy for tape-worm and oil as a nervine tonic (Kirtikar & Basu, 1988).

11. Corallocarpus epigaeus Benth. ex Hook. f. syn. Bryonia epigaea Wight.

San: Katunahi;

Hin: Akasgaddah;

Mal: Kadamba, Kollankova

Tam: Akashagarudan, Gollankovai;

Tel: Murudonda, Nagadonda

Corallocarpus is a prostrate or climbing herb distributed in Punjab, Sind, Gujarat, Deccan, Karnataka and Sri Lanka. It is monoecious with large root which is turnip-shaped and slender stem which is grooved, zigzag and glabrous. Tendrils are simple, slender and glabrous. Leaves are sub-orbicular in outline, light green above and pale beneath, deeply cordate at the base, angled or more or less deeply 3-5 lobed. Petiole is long and glabrous. Male flowers are small and arranged at the tip of a straight stiff glabrous peduncle. Calyx is slightly hairy, long and rounded at the base. Corolla is long and greenish yellow. Female flowers are usually solitary with short, stout and glabrous peduncles. Fruit is stalked, long, ellipsoid or ovoid. Seeds are pyriform, turgid, brown and with a whitish corded margin. It is prescribed in later stages of dysentery and old veneral complaints. For external use in chronic rheumatism, it is made into a liniment with cumin seed, onion and castor oil. It is used in case of snakebite where it is administered internally and applied to the bitten part. The root is given in syphilitic rheumatism and later stages of dysentery. The plant is bitter, sweet, alexipharmic and emetic. The root is said to possess alterative and laxative properties (Kirtikar and Basu, 1988). Root contains a bitter principle like Breyonin (Chopra et al, 1980).

Agrotechnology: Cucurbits can be successfully grown during January-March and September- December. For the rainfed crop, sowing can also be started after the receipt of the first few showers.

Pits of 60cm diameter and 30-45cm depth are to be taken at the desired spacing. Well rotten FYM or vegetable mixture is to be mixed with topsoil in the pit and seeds are to be sown at 4-5/pit. Unhealthy plants are to be removed after 2 weeks and retained 2-3 plants/pit. FYM is to be applied at 20-25t/ha as basal dose along with half dose of N (35kg/ha) and full dose of P (25kg) and K (25kg). The remaining dose of N (35kg) can be applied in 2 equal split doses at fortnightly intervals. During the initial stages of growth, irrigation is to be given at an interval of 3-4 days and at alternate days during flowering and fruiting periods. For trailing cucumber, pumpkin and melon, dried twigs are to be spread on the ground. Bitter gourd, bottle gourd, snake gourd and ash gourd are to be trailed on Pandals. Weeding and raking of the soil are to be conducted at the time of fertilizer application. Earthing up may be done during rainy season. The most dreaded pest of cucurbits is fruit flies which can be controlled by using fruit traps, covering the fruits with polythene, cloth or paper bags, removal and destruction of affected fruits and lastly spraying with Carbaryl or Malathion 0. 2% suspension containing sugar or jaggery at 10g/l at fortnightly intervals after fruit set initiation. During rainy season, downy mildew and mosaic diseases are severe in cucurbits. The former can be checked by spraying Mancozeb 0.2%. The spread of mosaic can be checked by controlling the vectors using Dimethoate or Phosphamidon 0.05% and destruction of affected plants and collateral hosts. Harvesting to be done at least 10 days after insecticide or fungicide application (KAU,1996).... cucurbits

Tarenna Asiatica

(Linn.) Alston.

Synonym: Webra corymbosa Willd.

Family: Rubiaceae.

Habitat: Peninsular region, ascending to an altitude of 1,000 m, and in Assam.

Folk: Kuraa (Maharashtra).

Action: Fruit—smashed and applied to boils to promote suppuration. Leaves— used in skin diseases.

Thewholeplant, including theroots, contained D-mannitol. The leaves contain a flavone, corymbosin.... tarenna asiatica

Osmolar Gap

the difference between the measured serum osmolality and the calculated osmolality using the following formula:

It is an aid to the diagnosis of severe *anion gap acidoses. The normal range for the difference is ± 10 mOsm/kg. A high osmolar gap is normally due to the presence of acetone, mannitol, or an alcohol.... osmolar gap

Brain, Diseases Of

These consist either of expanding masses (lumps or tumours), or of areas of shrinkage (atrophy) due to degeneration, or to loss of blood supply, usually from blockage of an artery.

Tumours All masses cause varying combinations of headache and vomiting – symptoms of raised pressure within the inexpansible bony box formed by the skull; general or localised epileptic ?ts; weakness of limbs or disordered speech; and varied mental changes. Tumours may be primary, arising in the brain, or secondary deposits from tumours arising in the lung, breast or other organs. Some brain tumours are benign and curable by surgery: examples include meningiomas and pituitary tumours. The symptoms depend on the size and situation of the mass. Abscesses or blood clots (see HAEMATOMA) on the surface or within the brain may resemble tumours; some are removable. Gliomas ( see GLIOMA) are primary malignant tumours arising in the glial tissue (see GLIA) which despite surgery, chemotherapy and radiotherapy usually have a bad prognosis, though some astrocytomas and oligodendronogliomas are of low-grade malignancy. A promising line of research in the US (in the animal-testing stage in 2000) suggests that the ability of stem cells from normal brain tissue to ‘home in’ on gliomal cells can be turned to advantage. The stem cells were chemically manipulated to carry a poisonous compound (5-?uorouracil) to the gliomal cells and kill them, without damaging normal cells. Around 80 per cent of the cancerous cells in the experiments were destroyed in this way.

Clinical examination and brain scanning (CT, or COMPUTED TOMOGRAPHY; magnetic resonance imaging (MRI) and functional MRI) are safe, accurate methods of demonstrating the tumour, its size, position and treatability.

Strokes When a blood vessel, usually an artery, is blocked by a clot, thrombus or embolism, the local area of the brain fed by that artery is damaged (see STROKE). The resulting infarct (softening) causes a stroke. The cells die and a patch of brain tissue shrinks. The obstruction in the blood vessel may be in a small artery in the brain, or in a larger artery in the neck. Aspirin and other anti-clotting drugs reduce recurrent attacks, and a small number of people bene?t if a narrowed neck artery is cleaned out by an operation – endarterectomy. Similar symptoms develop abruptly if a blood vessel bursts, causing a cerebral haemorrhage. The symptoms of a stroke are sudden weakness or paralysis of the arm and leg of the opposite side to the damaged area of brain (HEMIPARESIS), and sometimes loss of half of the ?eld of vision to one side (HEMIANOPIA). The speech area is in the left side of the brain controlling language in right-handed people. In 60 per cent of lefthanders the speech area is on the left side, and in 40 per cent on the right side. If the speech area is damaged, diffculties both in understanding words, and in saying them, develops (see DYSPHASIA).

Degenerations (atrophy) For reasons often unknown, various groups of nerve cells degenerate prematurely. The illness resulting is determined by which groups of nerve cells are affected. If those in the deep basal ganglia are affected, a movement disorder occurs, such as Parkinson’s disease, hereditary Huntington’s chorea, or, in children with birth defects of the brain, athetosis and dystonias. Modern drugs, such as DOPAMINE drugs in PARKINSONISM, and other treatments can improve the symptoms and reduce the disabilities of some of these diseases.

Drugs and injury Alcohol in excess, the abuse of many sedative drugs and arti?cial brain stimulants – such as cocaine, LSD and heroin (see DEPENDENCE) – can damage the brain; the effects can be reversible in early cases. Severe head injury can cause localised or di?use brain damage (see HEAD INJURY).

Cerebral palsy Damage to the brain in children can occur in the uterus during pregnancy, or can result from rare hereditary and genetic diseases, or can occur during labour and delivery. Severe neurological illness in the early months of life can also cause this condition in which sti? spastic limbs, movement disorders and speech defects are common. Some of these children are learning-disabled.

Dementias In older people a di?use loss of cells, mainly at the front of the brain, causes ALZHEIMER’S DISEASE – the main feature being loss of memory, attention and reasoned judgement (dementia). This affects about 5 per cent of the over-80s, but is not simply due to ageing processes. Most patients require routine tests and brain scanning to indicate other, treatable causes of dementia.

Response to current treatments is poor, but promising lines of treatment are under development. Like Parkinsonism, Alzheimer’s disease progresses slowly over many years. It is uncommon for these diseases to run in families. Multiple strokes can cause dementia, as can some organic disorders such as cirrhosis of the liver.

Infections in the brain are uncommon. Viruses such as measles, mumps, herpes, human immunode?ciency virus and enteroviruses may cause ENCEPHALITIS – a di?use in?ammation (see also AIDS/HIV).

Bacteria or viruses may infect the membrane covering the brain, causing MENINGITIS. Viral meningitis is normally a mild, self-limiting infection lasting only a few days; however, bacterial meningitis – caused by meningococcal groups B and C, pneumococcus, and (now rarely) haemophilus – is a life-threatening condition. Antibiotics have allowed a cure or good control of symptoms in most cases of meningitis, but early diagnosis is essential. Severe headaches, fever, vomiting and increasing sleepiness are the principal symptoms which demand urgent advice from the doctor, and usually admission to hospital. Group B meningococcus is the commonest of the bacterial infections, but Group C causes more deaths. A vaccine against the latter has been developed and has reduced the incidence of cases by 75 per cent.

If infection spreads from an unusually serious sinusitis or from a chronically infected middle ear, or from a penetrating injury of the skull, an abscess may slowly develop. Brain abscesses cause insidious drowsiness, headaches, and at a late stage, weakness of the limbs or loss of speech; a high temperature is seldom present. Early diagnosis, con?rmed by brain scanning, is followed by antibiotics and surgery in hospital, but the outcome is good in only half of affected patients.

Cerebral oedema Swelling of the brain can occur after injury, due to engorgement of blood vessels or an increase in the volume of the extravascular brain tissue due to abnormal uptake of water by the damaged grey (neurons) matter and white (nerve ?bres) matter. This latter phenomenon is called cerebral oedema and can seriously affect the functioning of the brain. It is a particularly dangerous complication following injury because sometimes an unconscious person whose brain is damaged may seem to be recovering after a few hours, only to have a major relapse. This may be the result of a slow haemorrhage from damaged blood vessels raising intracranial pressure, or because of oedema of the brain tissue in the area surrounding the injury. Such a development is potentially lethal and requires urgent specialist treatment to alleviate the rising intracranial pressure: osmotic agents (see OSMOSIS) such as mannitol or frusemide are given intravenously to remove the excess water from the brain and to lower intracranial pressure, buying time for de?nitive investigation of the cranial damage.... brain, diseases of

Canthium Parviflorum

Lam.

Synonym: Plectronia parviflora (Lam.) Bedd.

Family: Rubiaceae.

Habitat: Throughout the Deccan Peninsula, from Gujarat and Maharashtra southwards, and in Bihar and Orissa.

English: Wild Jasmine.

Folk: Kaari.

Siddha/Tamil: Karai, Kadan Karai, Nalla Karai, Kudiram.

Action: Leaves and fruits— astringent, antispasmodic; used against cough. A decoction of the root and leaves is given in flu. Bark—antidysenteric.

The plant contains mannitol (0.5%) and alkaloids. Canthium umbellatum Wight is also known as Kaari.... canthium parviflorum

Clerodendrum Phlomidis

Linn.f.

Synonym: C. multiflorum (Burm. f.) O. Kuntze.

Family: Verbenaceae.

Habitat: Throughout India, in the drier parts.

Ayurvedic: Agnimantha, Tarkaari, Vikraantaa, Jayanti, Jai, Jayaa, Ganikaarikaa, Vaijayanti, Bigger var. is equated with Premna integri- folia Linn., Shriparni, Naadeyi.

Siddha/Tamil: Tazhuthaazhai.

Folk: Laghu Arni.

Action: Plant parts used in dyspepsia, stomachache, colic, cholera, dysentery, postnatal fever, during convalscence from measles. Root and bark—bitter tonic, used in debility and nervous disorders.

The Ayurvedic Pharmacopoeia of India indicated the use of root in dysuria and retention of urine.

Flavonoids, scutellarein and pec- tolinarin, have been isolated from the leaves. Stems gave d-mannitol, beta- sitosterol, its glucosides and ceryl alcohol. The roots contain ceryl alcohol, clerodin, clerosterol and clerodendrin A.

The ethanolic extract of leaves exhibited hepatoprotective activity. The aqueous extract of leaves exhibited in vitro anthelmintic activity. The plant also exhibited antidiabetic activity.

Dosage: Root—12-24 g for decoction. (API Vol. III.)... clerodendrum phlomidis

Diuretics

Substances which increase urine and solute production by the KIDNEYS. They are used in the treatment of heart failure, HYPERTENSION, and sometimes for ASCITES secondary to liver failure. They may work by extra-renal or renal mechanisms.

The potential side-effects of diuretics are HYPOKALAEMIA, DEHYDRATION, and GOUT (in susceptible individuals).

Extra-renal mechanisms (a) Inhibiting release of antidiuretic hormone (e.g. water, alcohol); (b) increased renal blood ?ow (e.g. dopamine in renal doses).

Renal mechanisms (a) Osmotic diuretics act by ‘holding’ water in the renal tubules and preventing its reabsorption (e.g. mannitol); (b) loop diuretics prevent sodium, and therefore water, reabsorption (e.g. FRUSEMIDE); (c) drugs acting on the cortical segment of the Loop of Henle prevent sodium reabsorption, but are ‘weaker’ than loop diuretics (e.g. THIAZIDES); (d) drugs acting on the distal tubule prevent sodium reabsorption by retaining potassium

(e.g. spironalactone).... diuretics

Drypetes Roxburghii

(Wall.) Hurusawa.

Synonym: Putranjiva roxburghii Wall.

Family: Euphorbiaceae.

Habitat: Wild and cultivated throughout tropical India.

Ayurvedic: Putrajivaka, Sutajva, Putrakamanjari.

Siddha/Tamil: Karupali, Irukolli.

Action: Leaves, fruits and stones of fruits are given in colds and fevers, also in rheumatic affections. Rosaries, made ofhard stones of the fruit, are placed around the necks of children to protect them from diseases.

The seed kernel yield 0.5% of a sharp- smelling essential oil of the mustard oil type. The oil contains isopropyl and 2-butyl isothiocyanates as the main constituents and 2-methyl-butyl isoth- iocyanate as minor component. Anad- ditional glucoside, glucocleomin, has been found in the seed kernels. A glu- cosidic pattern similar to that in the seeds is reported in the shoots and roots. The fruit pulp contains a large proportion of mannitol and small quantities of a saponin glucoside and alkaloid.

The alkaloid is also present in a small quantity in the stones of the fruit.

Dosage: Seed, leaf, bark—3-6 g powder. (CCRAS.)... drypetes roxburghii

Enjoy A Cup Of Reishi Tea!

If you haven’t tried reishi tea until now, you should get some. Made from a “cure-all” herb, reishi tea has plenty of health benefits and helps you stay healthy with every gulp. About Reishi Tea Reishi tea is made form reishi, which is considered the best and most superior of all Chinese herbs. Reishi is a polypore mushroom which can be found growing in dark forests, on deciduous trees and logs. It is soft, corky, and flat, and has a conspicuous red-varnished cap, kidney-shaped, and with pores underneath it. It is classified based on its color and shape, and each variety protects and nourishes a different body organ. The classification is the following: white (lungs and skin), purple (joints), red (heart), green (liver), black (brain and kidney), and yellow (spleen). How to prepare Reishi Tea For a cup of reishi tea, you need about 5 grams of dried reishi mushroom herbs. Add them to the necessary amount of water for one cup and boil for about 10 minutes. Then, let the mixture steep for 2-3 hours, before you strain it to remove the herbs. If you don’t like the taste too much or you think it’s too bitter, you can add honey or fruit juice to sweeten it. Reishi Tea Constituents Reishi tea gets many of its health benefits thanks to the active constituents found in the reishi mushroom - the tea’s main ingredient. Some of them include triterpenes (ganoderic acids), polysaccharides, alkaloids, lactones, mannitol and coumarin. Also, reishi tea has various vitamins, proteins, and minerals. Reishi Tea Benefits Reishi tea is an important element in the fight against cancer. It helps by enhancing the human ability to fight abnormal cells and, consequently, it can improve the synthesis of proteins and nucleic acid. It also protects the cells against further damage, and it helps alleviate the pain and discomfort caused by chemotherapy. Drinking reishi tea will keep the heart diseases away, as it lowers bad cholesterol levels and blood pressure. It helps strengthen the immune system, and it will also slow down the aging process by nurturing the cells in your body. Not only is reishi tea good for your immune system, but it also helps your nervous system. This tea is bound to help you relax, by soothing the mind and sedating the nerves. It will also help you sleep properly during the night. You can drink reishi tea if you’ve got problems with coughing or asthma. It protects your liver, therefore it is recommended to persons who suffer from acute and chronic hepatitis. Besides this, it also helps with diabetes, skin allergy, and duodenal ulcers. Reishi Tea Side Effects You might have an allergic reaction to reishi tea. If you end up with an upset stomach, or you feel your mouth, nose and/or throat dry, you might have an allergic reaction. Stop drinking reishi tea and contact your doctor, just in case. Other side effects you might get when drinking reishi tea include dizziness, nosebleeds, sore bones, gastrointestinal distress, or irritated skin. It is best not to drink reishi tea if you’re taking blood thinning medication (aspirin, warfarin). The tea might intensify the effects of the medicine. It is also considered that this tea may interfere with immunosuppressive drugs or even organ transplants.   According to the Chinese, the reishi mushroom is a plant which can bring “the dying back to life”. Reishi tea has quite similar properties too, as it comes with many health benefits. This should encourage you to drink reishi tea every day!... enjoy a cup of reishi tea!

Fraxinus Griffithii

Clarke.

Family: Oleaceae.

Habitat: Arunachal Pradesh (Mishmi Hills).

Action: Toxic to CNS.

The extract of the bark and leaves are used as an adulterant of illegal opium and are sold in the black market in certain areas in Indonesia.

The bark contains an iridoid glu- coside, ligstroside, and the phenolic glucosides, syringin and sinapaldehyde glucoside.

Family: Oleaceae.

Habitat: F. excelsior Linn.—Great Britain, Europe and North America. F. hookery—Western Himalaya at 2,700-3,350 m.

English: European Ash, Weeping Ash.

Folk: Kum, Sum, Hum, Sinnun (Punjab, Kashmir).

Action: F. excelsior—laxative, antiinflammatory, febrifuge. The bark and leaves are used for arthritis and rheumatism.

The herb gave coumarin derivatives, including fraxin, fraxetin and fraxinol; flavonoids based on aesculetin, including aescin, also rutin and quercetin. A coumarin derivative is actively diuretic.

A saccharine exudate, manna, consisting principally of mannitol, is obtained by incising the stem barks of some Fraxinus sp. found in India. The manna of commerce is derived from F. ornus. F. hookery (bark)—astringent, febrifuge, bitter tonic. Leaves—cathartic.

Ash Bark is used, in decoction, in the treatment of intermittent fever and ague, as a substitute for Peruvian bark. Also used for treating obstructions of the liver and spleen and in rheumatism and arthritic affections.

Preparations of European Ash Bark showed an analgesic, anti-exudative and antiphlogistic action. (German Commission E.)

Habitat: Indigenous to the coasts of the Mediterranean from Spain to Smyrna.

English: Flake Manna.

Unani: Turanjeen.

Action: A children's laxative. Usually prescribed with other purgatives. (Not to be used in the presence of ileus.)

Key application: In constipation where an easier elimination and a soft stool are desirable; in animents such as anal fissures, haemorrhoids and post-rectal and surgery. (German Commission E.)

The exudation contains 40-90% mannitol, 10-15% stachyose and man- notriose, glucose, fructose.... fraxinus griffithii

Gardenia Jasminoides

Ellis.

Synonym: G. florida Linn. G. augusta Merrill.

Family: Rubiaceae.

Habitat: Native to China and Japan; cultivated in Indian gardens.

English: Cape Jasmine.

Ayurvedic: Gandharaaja.

Siddha/Tamil: Karinga.

Action: Plant—cathartic, antispasmodic, anthelmintic, antiperiodic. Root—antidysenteric. Also used in dyspepsia and nervous disorders. Fruits—used in gastric hyperacidity, constipation, cholestasis, internally and externally for inflammation and as a tranquilizer.

The plant contains iridoid glycosides—geniposide 56.03, genipin 1.72, gardenoside 2.16 and geniposidic acid 1.79 mg/g The stem and root contain oleanolic acid, D-mannitol and stig- masterol. The leaves contain an anti- fungal compound, cerbinal.

Geniposide is an important active principle of the fruit. The fruit also contain the carotenoids, crocin and crocetin. Aqueous and methonalic extracts of the fruit exhibited antioxidant activity due to the presence of geniposide and crocin; crocin was more potent than geniposide.

The extract as well as geniposide caused a remarkable decrease in GOT, GPT and ALP activities. They also produced a significant decrease in the level of total cholesterol in the serum of CCl4-induced and D-galactosamine- intoxicated rats. The crude extract as well as geniposide exhibited protective effect against induced hyperbiliru- binemia by effectively lowering serum bilirubin.... gardenia jasminoides

Gardenia Latifolia

.

Family: Rubiaceae.

Habitat: Throughout the greater part of India, mostly in dry forests.

English: Boxwood Gardenia.

Ayurvedic: Parpataki.

Siddha/Tamil: Kumbay, Perungam- bil.

Folk: Paaparaa, Ban-pindaalu.

Action: Bark—used in skin diseases.

The stem bark contains hederage- nin, D-mannitol, sitosterol and siaresi- nolic, episiaresinolic, oleanolic and spinosic acid.... gardenia latifolia

Glaucoma

A group of disorders of the eye characterised by the intraocular pressure being so high as to damage the nerve ?bres in the retina and the optic nerve (see EYE) as it leaves the eye en route to the brain. The affected person suffers limitation of the ?eld of vision and on examination the optic disc can be seen to be cupped. The clinical signs depend on the rate and extent of rise in pressure.

Individuals most at risk have a family history of GLAUCOMA (especially among siblings), are myopic (short-sighted), or have diabetic or thyroid eye disease. People with a strong family history of the disease should have regular eye checks, including tonometry, from the age of 35 years.

Glaucoma is usually classi?ed as being either open-angle glaucoma or narrow-angle glaucoma.

Open-angle glaucoma is a chronic, slowly progressive, usually bilateral disorder. It occurs in one in 200 of people over 40 and accounts for 20 per cent of those registered blind in Great Britain. Symptoms are virtually non-existent until well into the disease, when the patient may experience visual problems. It is not painful. The characteristic ?ndings are that the intraocular pressure is raised (normal pressure is up to 21 mm Hg) causing cupping of the optic disc and a glaucomatous visual-?eld loss. The angle between the iris and the cornea remains open. Treatment is aimed at decreasing the intraocular pressure initially by drops, tablets and intravenous drug administration. Surgery may be required later. A trabeculectomy is an operation to create a channel through which ?uid can drain from the eye in a controlled fashion in order to bring the pressure down.

Narrow-angle glaucoma affects one in 1,000 people over 40 years of age and is more common in women. Symptoms may start with coloured haloes around street lights at night. These may then be followed by rapid onset of severe pain in and around the eye accompanied by a rapid fall in vision. One eye is usually affected ?rst; this alerts the surgeon so that action can be taken to prevent a similar attack in the other eye. Treatment must be started as an emergency with a topical beta blocker (see BETA-ADRENOCEPTOR-BLOCKING DRUGS) in eye drops with other drugs such as ADRENALINE or pilocarpine added as necessary. Dorzolamide, a topical anhydrase inhibitor, can also be used. ACETAZOLAMIDE, also an anhydrase inhibitor, can be given by mouth. In an emergency before surgery, MANNITOL can be given through an intravenous infusion; this is followed by surgery to prevent recurrence. Acute narrow-angle glaucoma occurs because the peripheral iris is pushed against the back of the cornea. This closes o? the angle between iris and cornea through which aqueous humour drains out of the eye. Since the aqueous humour cannot drain away, it builds up inside the eye causing a rapid increase in pressure.

Various types of LASER treatment – trabeculoplasty (‘burning’ the trabecular network); iridotomy (cutting holes to relieve pressure); and ciliary-body ablation by ‘burning’ – are sometimes used in preference to surgery.... glaucoma

Jasminum Auriculatum

Vahl.

Family: Oleaceae.

Habitat: Cultivated throughout India, especially in Uttar Pradesh and Tamil Nadu. In Uttar Pradesh, cultivated on commercial scale in Ghazipur, Jaunpur, Farrukhabad and Kannauj for its fragrant flowers which yield an essential oil.

Ayurvedic: Yuuthikaa, Yuuthi, Mugdhee.

Siddha/Tamil: Usimalligai.

Folk: Juuhi.

Action: See Jasminum humile.

The leaves gave lupeol, its epimer, hentriacontane and n-tricantanol, a triterpenoid, jasminol; d-mannitol; volatile constituent, jasmone. The pin type pointed flower buds (long styled) on solvent extraction yielded higher concrete content rich in indole and methyl anthranilate, whereas thrum type (short styled) buds yield higher absolute with benzyl acetate as the prominent constituent.... jasminum auriculatum

Jasminum Sambac

(Linn.) Ait.

Family: Oleaceae.

Habitat: Cultivated throughout India, especially in Uttar Pradesh, on a large scale in Jaunpur, Kannauj, Ghazipur and Farrukhabad for its fragrant flowers.

English: Arabian Jasmine, Tuscan Jasmine, Double Jasmine.

Ayurvedic: Mallikaa, Madayanti, Madyantikaa, Nava-Mallikaa, Shita-bhiru, Vaarshiki.

Unani: Mograa.

Siddha: Malligai.

Folk: Belaa, Motiaabelaa; Mogaraa (Maharashtra).

Action: Root—emmenagogue, blood purifier. Flowers—lactifuge. Alcoholic extract—hypotensive. Leaves—antibacterial; used against indolent and breast tumours.

The leaves contain the secoiridoid glycosides, jasminin, quercitrin, iso- quercitrin, rutin, quercitrin-3-dirham- noglycoside, kaempferol-3-rhamno- glycoside, mannitol, alpha-amyrin, beta-sitosterol and an iridoid glyco- side, sambacin. The absolute contains several pyridine and nicotinate derivatives.

Dosage: Decoction—50-100 ml. (CCRAS.)... jasminum sambac

Mimusops Elengi

Linn.

Family: Mimosaceae.

Habitat: Native to tropical America; naturalized in tropical and subtropical regions of India.

English: Sensitive-plant, Humble- Plant.

Ayurvedic: Lajjaalu, Laajavanti, Namaskaari, Samangaa, Sankochini, Shamipatraa, Khadirkaa, Raktapaadi.

Unani: Chhuimui, Sharmili, Laajwanti.

Siddha/Tamil: Thottalsurungi.

Action: Leaf—astringent, alterative, antiseptic, styptic, blood purifier. Used for diarrhoea, dysentery, haemophilic conditions, leuc- orrhoea, morbid conditions of vagina, piles, fistula, hydrocele and glandular swellings. Root—used in gravel and urinary complaints. A decoction is taken to relieve asthma.

The plant contains mimosine and turgorin. The periodic leaf movements exhibited by the plant are due to presence of derivatives of 4-O- (beta-D-glucopyranosyl-6'-sulphate)

Family: Sapotaceae.

Habitat: Cultivated in North India, Western Peninsula and South India.

English: Spanish-Cherry, West Indian Medlar, Bullet Wood.

Ayurvedic: Bakula, Keshara, Simhakeshara, Sthiraa, Sthira- pushpa, Vishaarada, Dhanvi, Madhupushpa, Madhugandha, Chirpushpa, Maulsiri.

Unani: Molsari.

Siddha: Magilam.

Action: Pulp of ripe fruit—astringent; used in chronic dysentery Flowers, fruit and bark—astringent. Bark—given for promoting fertility in women. Seeds—purgative. The leaves contain sterols, reducing sugars and tannins; roots, a steroidal saponin; stem bark, spinasterol and taraxerol; flowers, D-mannitol, beta-sitosterol and beta-sitosterol- D-glycoside; seeds, pentacyclic triterpene acids, mimusopic and mimusopsic acids.

Essential oil obtained from the plant is reported to be mycotoxic. Antimicrobial activity of the root extract has been reported. Saponins isolated from the seeds have been found to effect the cardiovascular activity in dogs and haemolytic activity in human beings. Spasmolytic activity in isolated ileum of guinea-pigs has also been recorded. Saponins from seeds also showed spermicidal activity.

Dosage: Seed, bark—10-20 g paste; 50-100 ml decoction. (CCRAS.)... mimusops elengi

Nyctanthes Arbor-tristis

Linn.

Family: Oleaceae; Nyctanthaceae.

Habitat: Outer Himalaya, Assam, West Bengal; cultivated in many parts of India.

English: Tree of Sorrow, Night Jasmine, Coral Jasmine.

Ayurvedic: Paarijaata, Shephaali, Shephaalikaa, Mandaara.

Unani: Harasingaar.

Siddha: Pavazha mattigai.

Action: Leaves—bitter tonic, chola- gogue, febrifuge, anti-inflammatory, antispasmodic, hypotensive, respiratory stimulant. Used for fevers, rheumatism, obstinate sciatica.

The leaves and seeds contain iri- doid glycosides; other constituents reported from the leaves are mannitol, beta-amyrin, beta-sitosterol, hentria- contane, benzoic acid, astragalin, nico- tiflorin, oleanolic acid, nyctanthic acid, friedelin and lupeol. The seeds contain a polysaccharide glucomannan.

All parts of the plant are used for allergic disorders. Alcoholic extract of the plant was found to inhibit passive cutaneous anaphylaxis (PCA) in experimental animals. The inhibition was comparable to standard drugs used for allergy and bronchial asthma.

Ethanolic extract of the leaves, flowers and seeds demonstrated strong stimulation of antigen specific and non-specific immunity in mice.

The 50% ethanolic extracts of the leaves, flowers, seeds and roots were found effective in treating caecal amoe- biasis caused by Entamoeba histolytica in rats. But the extracts did not exhibit direct amoebicidal activity in vitro against trophozoites of the parasite.

The iridoid glucosides showed an- tileishmanial activity both in vivo and in vitro.

Dosage: Leaf—10-20 ml juice. (CCRAS.)

Seeds—used in diabetes, also in cutaneous diseases. Filaments— astringent and cooling; prescribed for bleeding piles and menorrhagia. Plant—toxic on the nervous system.

The flowers contain flavonoids including quercetin, kaempferol, api- genin. Cardiac glucoside, nymphalin, showed sedative action in small doses.

The petroleum ether extract of the plant of Nymphaea species, given at a dose of 300 mg/kg i.p. prevented necrosis of the liver tissue and promoted, to some extent, liver regeneration in CCl4-induced toxicity.

Dosage: Dried flowers—3-6 g (API, Vol. III); seed—3-6 g. powder (CCRAS.).... nyctanthes arbor-tristis

Pavetta Indica

Linn.

P. tomentosa Roxb. ex

Family: Rubiaceae.

Habitat: Throughout greater part of India, ascending to an altitude of about 1,500 m in the Himalayas, also recorded from the Andamans.

English: White-Pavetta.

Ayurvedic: Papata, Kathachampaa.

Siddha/Tamil: Pavattai.

Folk: Paapadi (Maharashtra).

Action: Root—bitter and aperient. Prescribed in visceral obstructions, renal dropsy and ascites. Leaves— used for fomenting piles and for haemorrhoidal pains. The root bark contains d-mannitol.... pavetta indica

Platanus Orientalis

Linn.

Family: Platanaceae.

Habitat: Native to eastern Mediterranean region; cultivated in Kashmir and North-western Himalayas at 1,200-2,400 m.

English: Oriental Plane, Oriental Sycamore. European Plane tree.

Folk: Chinaar, Buin (Kashmir and Punjab).

Action: Bark—antidiarrhoeal, antiscorbutic, antirheumatic. Leaf—astringent. Buds—antiseptic, used for urinary infection.

The buds yielded kaempferol, its derivatives and caffeic acid. The me- thanolic extract exhibits antiseptic and antimicrobial activities.

The bark contains 1.5% of platanin, also 5.9% tannin and 7.3% non-tans. The shoots and leaves contain alan- toin; roots phlobaphene. The sap of the tree contains up to 90% mannitol. A triterpene, platanolic acid, is found in most parts of the plant except the fruit.... platanus orientalis

Picrasma Quassioides

Bennett.

Family: Simaroubaceae.

Habitat: Garhwal, Himachal Pradesh and Kulu.

English: Quassia (substitute for P excelsa Lindtl).

Ayurvedic: Bhurangi, Nimbi. (Clerodendrum serratum and its related species represent Bhaargi or Bhaarangi.)

Folk: Nimatotaa.

Action: Wood—a non-astringent bitter tonic and stomachic, amoe- bicidal, anthelmintic (used as enema), insect repellent. Used as a supporting medicine for temporary relief in cirrhosis of liver.

Many indole alkaloids of beta-car- boline, canthin-6-one and beta-carbo- line dimer type, have been isolated from the wood. These are reported to increase the blood flow rate in the intestine and stomach of rabbit; also exhibited antiviral activity on Herpes simplex virus.

Nigaki lactone and methylnigaki- none, isolated from the wood, showed antigastric ulcer activity in rats. The extract of the wood is reported to prevent the secretion of gastric juice in a dose-dependent manner in rats. The extract also showed the same effects on rats having aspirin-induced gastric ulcer.

Family: Scrophulariaceae.

Habitat: The alpine Himalayas from Kashmir to Sikkim.

English: Picrorhiza.

Ayurvedic: Katukaa, Katurohini, Kattarohini, Katuki, Katukikaa, Krishnabhedaa, Kaandaruhaa, Matsyashakalaa, Chakraangi, Shat- parvaa, Arishta, Ashokarohinya, Shakuldaani.

Unani: Kutki, Kharbaq-e-Hindi.

Siddha/Tamil: Kaduguragini.

Action: Root—stomachic, antidiar- rhoeal, cholagogue, hepatoprotec- tive. Used in hepatitis, chronic dysentery, amoebiasis.

Key application: In jaundice, intermittent fever, dyspnoea and skin diseases. (The Ayurvedic Pharmacopoeia ofIndia.)

The roots yield a glycosidal bitter principle, kutkin, found to be a mixture of two iridoid glycosides, picro- side I and kutkoside. Also obtained were D-mannitol, kutkiol, kutkisterol and a ketone (identical with apocynin).

Kutkin exhibited hepatoprotective activity in CCl4-induced toxic rats.

Picroliv, a standardized fraction from the alcoholic extract of the root and rhizome, containing 55-60% of a mixture of picroside I and kutkoside (1:15) showed dose-dependent protective activity on isolated hepatocytes in vitro against thiocetamide-induced hepatic damage in rat and was found to be more potent than Silymarin, a known hepatoprotective agent. Pi- croliv is reported to show protective effect against rifampicin-induced hep- atotoxicity in rats. It also exerts hy- polipidaemic effect in normal, triton- treated and cholesterol-fed rats.

Kutkin, picroside I and kutkoside exhibit anti-inflammatory property.

The phenolic glycoside, androsin, isolated from the plant, prevents allergen and platelet activating factor- induced bronchial obstruction in guinea-pigs in vitro.

Cucurbitacin glycosides, isolated from the root, exhibit liver protective, tumour inhibitory and anti-inflammatory activity.

Dosage: Root—1-3 g; 3-6 g as purgative. (CCRAS.)... picrasma quassioides

Putranjiva Roxburghii

Wall.

Synonym: Drypetes roxburghii (Wall.) Hurusawa.Family: Euphoriaceae.

Habitat: Throughout tropical India, wild and cultivated as an avenue tree.English: Child-life tree, Indian Amulet Plant, Spurious Wild Olive.Ayurvedic: Putranjiva, Putrajivaka, Putrajiva, Yashtipushpa, Arth- saadhanaSiddha/Tamil: Karupali Garbhadaa and Garbhakaraa are misleading synonyms.Folk: Jiyaapotaa.

Action: Fruit—powered (deseeded) fruits are used against cough, cold and sprue. Rosaries of hard stones are used for protecting children from infections. (Due to misleading nomenclature, the "conception-promoting" property has been attributed to the drug in folk medicine. Its use is possible in vaginal infections and genitourinary diseases, or skin eruptions during pre-conception stage.)The seed kernel on steam distillation yield 0.5% of a sharp-smelling essential oil of the mustard oil type. The oil contains isopropyl and 2-butyl isothio- cyanates as the main constituents and 2-methyl-butyl isothiocyanate as a minor component. The iso-thiocyanates are produced on enzymic hydrolysis of glycosidic progenitors present in the kernels, viz. glucoputranjivin, gluco- cochlearin and glucojiaputin respectively. An additional glucoside, gluco- cleomin has been identified in the seed kernel, it affords a non-volatile mustard oil, cleomin. A glycosidic pattern similar to that in the seed is reported in the shoots and roots.The fruit pulp contains a large proportion of mannitol and small quantities of saponin glucosides and alkaloids.The seed coat gave putranjivoside, putranoside A, B, C and D, beta- sitosterol and tis beta-D-glucoside.The leaves gave amentoflavone and its derivatives, beta-amyrin and its palmite, polyphenols, putranjiva sa- ponin A,B,C, and D and stigmasterol.The bark contains friedelin, friede- lanol, friedelanone, friedelan-3,7-di- one (putranjivadione), 3-alpha-hydro- xy friedelan- 7-one (roxburgholone), carboxylic acid, putric acid, putran- jivic acid.The essential oil from leaves showed mild antifungal activity against Rhizoctonia solani.

... putranjiva roxburghii

Pomegranate

Punica granatum

Punicaceae

San: Dadimah;

Hin: Anar, Dhalim;

Ben: Dalim;

Tam: Madalai, Madalam;

Mal: Urumampazham, Matalam, Talimatala m, Matalanarakam; Kan :Dalimbe;

Tel: Dadima; Mar: Dalimba;

Guj: Dadam; Ass: Dalin

Importance: Pomegranate has long been esteemed as food and medicine and as a diet in convalescence after diarrhoea. The rind of the fruit is highly effective in chronic diarrhoea and dysentery, dyspepsia, colitis, piles and uterine disorders. The powdered drug boiled with buttermilk is an efficacious reme dy for infantile diarrohoea. The root and stem bark are good for tapeworm and for strengthening the gums. The flowers are useful in vomiting, vitiated conditions of pitta, ophthalmodynia, ulcers, pharyngodynia and hydrocele. An extract of the flowers is very specific for epistaxis. The fruits are useful in anaemia, hyperdipsia, pharyngodynia, ophthalmodynia, pectoral diseases, splenopathy, bronchitis and otalgia. The fruit rind is good for dysentery, diarrhoea and gastralgia. Seeds are good for scabies, hepatopathy and splenopathy. The important preparations using the drug are Dadimadighrtam, Dadimastaka churnam, Hinguvacadi churnam, Hingvadi gulika, etc (Sivarajan et al, 1994, Warrier et al, 1995).

Distribution: Pomegranate is a native of Iran, Afghanistan and Baluchistan. It is found growing wild in the warm valleys and outer hills of the Himalaya between 900m and 1800m altitude. It is cultivated throughout India, the largest area being in Maharastra.

Botany: Punica granatum Linn. belongs to the family Punicaceace. It is a large deciduous shrub up to 10m in height with smooth dark grey bark and often spinescent branchlets. Leaves are opposite, glabrous, minutely pellucid-punctuate, shining above and bright green beneath. Flowers are scarlet red or sometime yellow, mostly solitary, sometimes 2-4 held together. Stamens are numerous and inserted on the calyx below the petals at various levels. Fruits are globose, crowned by the persistent calyx. Rind is coriaceous and woody, interior septate with membraneous walls containing numerous seeds. Seeds are angular with red, pink or whitish, fleshy testa (Warrier et al, 1995).

Agrotechnology: Pomegranate is of deciduous nature in areas where winters are cold, but on the plains it is evergreen. A hot dry summer aids in the production of best fruits. Plants are grown from seeds as well as cuttings. Mature wood pieces cut into lengths of about 30cm are planted for rooting. The rooted plants are planted 4.5-6m apart. When planted close, they form a hedge which also yields fruits. Normal cultivation and irrigation practices are satisfactory for the pomegranate. An application of 30-45kg of FYM annually to each tree helps to produce superior quality fruits. The pomegranate may be trained as a tree with a single stem for 30-45cm or as a bush with 3 or 4 main stems. In either case suckers arising from the roots and similar growths from the trunk and main branches are removed once a year. Shortening of long slender branches and occasional thinning of branches should be done. The fruit has a tough rind and hence transportation loss is minimum (ICAR, 1966).

Properties and activity: Pomegranate fruit rind gives an ellagitannin named granatin B, punicalagin, punicalin and ellagic acid. Bark contains the alkaloids such as iso-pelletierine, pseudopelletierine, methyl isopelletierine, methyl pelletierine, pelletierine as well as iso-quercetin, friedelin, D- mannitol and estrone. Flowers give pelargonidin-3, 5-diglucoside apart from sitosterol, ursolic acid, maslinic acid, asiatic acid, sitosterol- -D-glucoside and gallic acid. Seeds give malvidin pentose glycoside. Rind gives pentose glycosides of malvidin and pentunidin. Fluoride, calcium, magnesium, vitamin C and phosphate are also reported from fruits. Leaves give elligatannins-granatins A and B and punicafolin.

Rind of fruit is astringent, fruit is laxative. Bark of stem and root is anthelmintic, and febrifuge. Rind of fruit and bark of stem and root is antidiarrhoeal. Pericarp possesses antifertility effect. Fixed oil from seeds are antibacterial. Bark, fruit pulp, flower and leaf are antifungal. Aerial part is CNS depressant, diuretic and hypothermic. The flower buds of pomegranate in combination with other plants showed excellent response to the patients of Giardiasis (Mayer et al, 1977; Singhal et al, 1983).... pomegranate

Randia Uliginosa

DC.

Synonym: Catunaregam uliginosa (Retz.) Sivarajan.

Family: Rubiaceae.

Habitat: Southern, Central and Eastern India, including Assam and Sikkim.

Ayurvedic: Pindaalu, Pinditaka.

Siddha/Tamil: Wagatta, Perunkarai.

Folk: Mainphal, Pindaar, Pendraa, Pendhar.

Action: Unripe fruit—astringent. Root—diuretic; used for biliousness, diarrhoea and dysentery

Unripe fruits are roasted and used as a remedy for dysentery and diarrhoea. The root, boiled in purified butter, is also prescribed for dysentery and diarrhoea.

The fruits, like those of Randia spinosa, contain a toxic saponin of oleanolic acid. They also contain leu- cocyanidin and mannitol. The flowers yield an essential oil similar to Gardenia oil.... randia uliginosa

Scoparia Dulcis

Linn.

Family: Scrophulariaceae.

Habitat: Indigenous to tropical America; introduced into India, commonly found as a weed in Bengal and Tamil Nadu, and in many parts of India.

English: Sweet Broomweed.

Folk: Jastimadhu, Madhukam, Ghodaa-tulasi.

Action: Plant—decoction is used for gravel and other renal affections. Leaves—infusion used in fever, cough and bronchitis. Root— febrifuge. Stem and leaves—used in anemia, albuminaria, ketonuria and other complications associated with diabetes mellitus.

An antidiabetic compound, amellin, occurs in the leaves and stems of the green plant.

According to some researchers, hy- poglycaemic compounds were not present in the extracts obtained from dry plant material.

The leaves contain the flavonoids, scutellarein and 7-O-methylscutella rein. Whole plant gave the triterpe- noids, dulcitol, friedelin, scopadol, be- tulinic acid, dulcitolic acid and dulci- olone. Benzoxazolinone, beta-sitoster- ol, D-mannitol, hexacosanol and tri- triacontane were also obtained from the plant.... scoparia dulcis

Sonchus Asper

Hill

Family: Compositae; Asteraceae.

Habitat: Waste places and fields throughout India, up to elevation of 3,600 m.

English: Spinyleaved Sow Thistle.

Ayurvedic: Sahadevi (bigger var.).

Folk: Didhi, Mhaataaraa (Maharashtra).

Action: Emollient. Pounded and applied to wounds and boils.

The latex contains rubber, alpha- and beta-lactucerols, ceryl alcohol, mannitol and traces of acetic acid. The whole plant contains the sesquiter- pene glycosides and ionone glycosides. Ascorbic acid (27 mg/100 g) is present in the plant.... sonchus asper

Spermacoce Hispida

Linn.

Synonym: Borreria articularis (Linn. f.) F.N. Williams. Borreria hispida (L.) K. Schum. Spermacoce articularis L. f.

Family: Rubiaceae.

Habitat: The Himalaya, from Simla westwards to Assam and southwards to Kanyakumari.

Ayurvedic: Madana Ghanti.

Siddha/Tamil: Nellichoori.

Action: Leaves—an extract is given as an astringent in haemorrhoids and gall stones. Seeds—demulcent; given in diarrhoea and dysentery. Root—prescribed as a mouthwash to cure toothache. A decoction of the herb is used in the treatment of headache.

The weed is rich in calcium and phosphorus; contains beta-sitosterol, ursolic acid and D-mannitol.

The plant gave alkaloid borreline, along with beta-sitosterol, ursolic acid and iso-rhamnetin.... spermacoce hispida

Syringa Vulgaris

Linn.

Family: Oleaceae.

Habitat: Cultivated in gardens in the hills.

English: Common Lilac.

Action: Bark, leaves and capsules— used as antipyretic, especially in chronic malaria, and as vermifuge. Leaf extract—antipyretic.

The leaves, flowers and bark contain the glucoside, syringin and syringopi- crin. Syringin is also present in the roots and fruits; mannitol has been reported in leaves, bark and fruits. The leaves contain 131.6 mg/100 g ofvitamin C. Ursolic acid has also been reported in the plant.... syringa vulgaris

Tamarix Dioica

Roxb.

Family: Tamaricaceae.

Habitat: Throughout in river beds and near sea-coasts in Tamil Nadu.

Ayurvedic: Maachikaa (related species).

Siddha/Tamil: Nirumari.

Folk: Jhaau. Galls—Maayin.

Action: Twigs and galls—astringent. Tannin content—leaves 8%, twig- bark 10%, galls 50%.

The leaves gave tamarixetin, kaemp- feride, quercetiin and D-mannitol. Aerial parts contain trans-2-hydroxy- methoxycinnamic acid and isorham- netin. Hexane extract gave hentriacon- tan-7-ol.

The flavones (tamaridone and tama- done) have also been isolated from ethanolic extract, along with hexaco- syl-p-coumarate, gardenin, nevaden- sin and apigenin. Gardenin B exhibited antiviral and anti-invasive activity against solid tumours.... tamarix dioica

Reye’s Syndrome

A rare disorder in which brain and liver damage follow a viral infection. Children over 15 are rarely affected. The cause is unknown, but aspirin seems to be a predisposing factor to developing the condition and is therefore not recommended for children.

The disorder starts as the child recovers from the infection. Symptoms include uncontrollable vomiting, lethargy, memory loss, and disorientation. Swelling of the brain may cause seizures, disturbances in heart rhythm, coma, and cessation of breathing.

Brain swelling may be controlled by corticosteroid drugs and by intravenous infusions of mannitol. Dialysis or blood transfusions may be needed. If breathing stops, a ventilator is used.

The death rate is around 10 per cent, and higher for those who have seizures, lapse into deep coma, and stop breathing.

Permanent brain damage may occur.... reye’s syndrome




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